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经口胆道镜联合经皮胆道穿刺引流会师术治疗Beger术后胆瘘1例报告

Successful treatment of biliary fistula after Beger surgery by oral choledochoscopy-assisted percutaneous-endoscopic rendezvous technique: A case report

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【作者】 王语馨顾伟刚金正张筱凤

【Author】 WANG Yuxin;GU Weigang;JIN Zheng;ZHANG Xiaofeng;The Fourth Clinical Medical College of Zhejiang Chinese Medical University;Department of Gastroenterology, Affiliated Hangzhou First People’s Hospital, Westlake University School of Medicine;Key Laboratory of Integrated Traditional Chinese and Western Medicine for Biliary and Pancreatic Diseases of Zhejiang Province;Key Laboratory of Clinical Cancer Pharmacology and Toxicology Research of Zhejiang Province;

【通讯作者】 张筱凤;

【机构】 浙江中医药大学第四临床医学院西湖大学附属杭州市第一人民医院消化内科浙江省中西医结合胆胰疾病重点实验室浙江省临床肿瘤药理与毒理学研究重点实验室

【摘要】 保留十二指肠胰头局部切除术(Beger术)术后胆管损伤发生率较高,而胆管损伤的治疗方式取决于损伤严重程度,内镜治疗在胆管损伤严重的情况下较困难。近期西湖大学附属杭州市第一人民医院收治1例因Beger术后出现胆瘘的患者,通过经口胆道镜联合经皮胆道穿刺引流会师术成功诊治,取得良好效果。

【Abstract】 Duodenum-preserving pancreatic head resection, also known as Beger surgery, has a high incidence rate of bile duct injury after surgery, while the treatment modality for bile duct injury depends on the severity of the injury, and endoscopic therapy is often challenging in case of severe bile duct injury. Recently a patient with biliary fistula after Beger surgery was admitted to Affiliated Hangzhou First People’s Hospital, Westlake University, and successful diagnosis and treatment were achieved through oral choledochoscopy-assisted percutaneous-endoscopic rendezvous technique.

【基金】 杭州市重点医学学科建设基金(OO20190001)~~
  • 【文献出处】 临床肝胆病杂志 ,Journal of Clinical Hepatology , 编辑部邮箱 ,2025年02期
  • 【分类号】R657.4
  • 【下载频次】21
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